Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

KOSCIUSKO COMMUNITY HOSPITAL

Warsaw, IN · CCN 150133 · Rates published

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You selected 508 (MS_DRG)

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

This hospital’s price: $15,296 across 27 payers · range $8,746-$34,198

Source: https://www.lutherankosciuskohospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621764613_lutheran-kosciusko-hospital_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,096 distinct procedures filed
56 distinct payers
812,840 rate rows
2026-07-15 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lutherankosciuskohospital.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/621764613_lutheran-kosciusko-hospital_standardcharges.csv
Found on page https://www.lutherankosciuskohospital.com/pricing-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-04
Content fingerprint 83f6f8a06bde4840… · 894,611,499 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $434,216.72 $647,979.12 $647,979.12 nat. median
$122,909
outlier · 5.3×
5834
APR_DRG 		Neonate With Ecmo 9 $395,514.93 $588,944.20 $588,944.20 nat. median
$309,665
1.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $395,514.93 $588,944.20 $588,944.20 nat. median
$244,017
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 9 $374,511.63 $558,502.30 $558,502.30 nat. median
$159,829
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo 9 $374,511.63 $558,502.30 $558,502.30 nat. median
$148,245
outlier · 3.8×
24
APR_DRG 		Heart And/or Lung Transplant 9 $360,685.28 $537,458.68 $537,458.68 nat. median
$243,231
outlier · 2.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $339,285.68 $503,124.62 $503,124.62 nat. median
$249,123
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 9 $315,431.69 $469,930.95 $469,930.95 nat. median
$202,660
outlier · 2.3×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $316,233.60 $469,136.53 $469,136.53 nat. median
$138,094
outlier · 3.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 $249,380.67 $1,062,727.29 $431,105.94 nat. median
$360,195
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $267,470.97 $396,403.43 $396,403.43 nat. median
$177,531
outlier · 2.2×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $264,547.95 $393,435.20 $393,435.20 nat. median
$122,016
outlier · 3.2×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $253,343.54 $378,177.99 $378,177.99 nat. median
$67,440
outlier · 5.6×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $224,142.59 $333,375.47 $333,375.47 nat. median
$171,358
1.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $224,358.82 $332,614.53 $332,614.53 nat. median
$165,334
outlier · 2.0×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $220,536.98 $328,688.97 $328,688.97 nat. median
$137,215
outlier · 2.4×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $214,523.26 $317,330.38 $317,330.38 nat. median
$152,569
outlier · 2.1×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 $282,189.18 $332,686.19 $307,437.68 nat. median
$1
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $161,838.02 $632,833.02 $306,201.98 nat. median
$247,805
1.2× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $204,264.27 $304,837.81 $304,837.81 nat. median
$67,645
outlier · 4.5×
1613
APR_DRG 		Implantable Heart Assist Systems 9 $203,905.05 $303,870.59 $303,870.59 nat. median
$121,888
outlier · 2.5×
1612
APR_DRG 		Implantable Heart Assist Systems 9 $203,885.70 $303,851.24 $303,851.24 nat. median
$85,665
outlier · 3.5×
1611
APR_DRG 		Implantable Heart Assist Systems 9 $202,873.05 $302,838.59 $302,838.59 nat. median
$77,137
outlier · 3.9×
23
APR_DRG 		Heart And/or Lung Transplant 7 $198,507.20 $295,712.02 $295,712.02 nat. median
$111,079
outlier · 2.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $198,127.58 $294,207.35 $294,207.35 nat. median
$145,336
outlier · 2.0×
5881
APR_DRG 		Female Reproductive System Reconstructive Procedures 9 $198,127.58 $294,207.35 $294,207.35 nat. median
$122,978
outlier · 2.4×
18
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $267,390.82 $315,239.71 $291,315.27 nat. median
$380,401
0.8× median
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 2 $260,207.04 $306,770.40 $283,488.72 nat. median
$39,358
outlier · 7.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $169,002.62 $250,369.68 $250,369.68 nat. median
$165,846
1.5× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $165,770.53 $245,243.37 $245,243.37 nat. median
$119,800
outlier · 2.0×
22
APR_DRG 		Heart And/or Lung Transplant 7 $163,464.90 $243,586.70 $243,586.70 nat. median
$93,125
outlier · 2.6×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 9 $162,843.39 $242,358.25 $242,358.25 nat. median
$99,544
outlier · 2.4×
7
MS_DRG 		Lung Transplant 24 $74,787.40 $698,356.92 $239,893.73 nat. median
$117,943
outlier · 2.0×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $158,132.69 $235,523.02 $235,523.02 nat. median
$154,211
1.5× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $154,011.10 $228,748.68 $228,748.68 nat. median
$82,146
outlier · 2.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 9 $152,611.53 $227,390.60 $227,390.60 nat. median
$165,169
1.4× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $148,660.10 $220,943.88 $220,943.88 nat. median
$89,273
outlier · 2.5×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 9 $148,158.63 $219,132.78 $219,132.78 nat. median
$96,980
outlier · 2.3×
21
APR_DRG 		Heart And/or Lung Transplant 7 $145,569.92 $217,018.03 $217,018.03 nat. median
$73,922
outlier · 2.9×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $134,626.81 $199,957.70 $199,957.70 nat. median
$75,127
outlier · 2.7×
72
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $133,323.47 $198,437.33 $198,437.33 nat. median
$66,446
outlier · 3.0×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $123,299.14 $482,134.95 $196,680.33 nat. median
$197,664
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 27 $122,575.53 $479,305.44 $195,534.58 nat. median
$190,274
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $129,612.05 $191,842.30 $191,842.30 nat. median
$109,393
1.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 $125,727.77 $186,758.52 $186,758.52 nat. median
$67,082
outlier · 2.8×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 $121,851.03 $181,159.91 $181,159.91 nat. median
$80,771
outlier · 2.2×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $121,179.73 $180,772.13 $180,772.13 nat. median
$73,704
outlier · 2.5×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 9 $120,940.24 $180,120.92 $180,120.92 nat. median
$82,615
outlier · 2.2×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 $117,122.59 $172,990.93 $172,990.93 nat. median
$89,743
1.9× median
62
APR_DRG 		Pancreas Transplant 7 $114,947.03 $171,455.28 $171,455.28 nat. median
$56,513
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 8,096 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $434,216.72 $647,979.12 $647,979.12 2026-07-15
5834 APR_DRG Neonate With Ecmo 12 9 — — $395,514.93 $588,944.20 $588,944.20 2026-07-15
5833 APR_DRG Neonate With Ecmo 12 9 — — $395,514.93 $588,944.20 $588,944.20 2026-07-15
5832 APR_DRG Neonate With Ecmo 12 9 — — $374,511.63 $558,502.30 $558,502.30 2026-07-15
5831 APR_DRG Neonate With Ecmo 12 9 — — $374,511.63 $558,502.30 $558,502.30 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 12 9 — — $360,685.28 $537,458.68 $537,458.68 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $339,285.68 $503,124.62 $503,124.62 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 12 9 — — $315,431.69 $469,930.95 $469,930.95 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 9 — — $316,233.60 $469,136.53 $469,136.53 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 27 — — $249,380.67 $1,062,727.29 $431,105.94 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $267,470.97 $396,403.43 $396,403.43 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $264,547.95 $393,435.20 $393,435.20 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $253,343.54 $378,177.99 $378,177.99 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $224,142.59 $333,375.47 $333,375.47 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $224,358.82 $332,614.53 $332,614.53 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $220,536.98 $328,688.97 $328,688.97 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $214,523.26 $317,330.38 $317,330.38 2026-07-15
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 2 2 — — $282,189.18 $332,686.19 $307,437.68 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 34 25 — — $161,838.02 $632,833.02 $306,201.98 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $204,264.27 $304,837.81 $304,837.81 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 12 9 — — $203,905.05 $303,870.59 $303,870.59 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 12 9 — — $203,885.70 $303,851.24 $303,851.24 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 12 9 — — $202,873.05 $302,838.59 $302,838.59 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 10 7 — — $198,507.20 $295,712.02 $295,712.02 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $198,127.58 $294,207.35 $294,207.35 2026-07-15
5881 APR_DRG Female Reproductive System Reconstructive Procedures 12 9 — — $198,127.58 $294,207.35 $294,207.35 2026-07-15
18 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $267,390.82 $315,239.71 $291,315.27 2026-07-15
166 OTHER Other Respiratory System O.r. Procedures With Mcc 2 2 — — $260,207.04 $306,770.40 $283,488.72 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $169,002.62 $250,369.68 $250,369.68 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $165,770.53 $245,243.37 $245,243.37 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 10 7 — — $163,464.90 $243,586.70 $243,586.70 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 9 — — $162,843.39 $242,358.25 $242,358.25 2026-07-15
7 MS_DRG Lung Transplant 33 24 — — $74,787.40 $698,356.92 $239,893.73 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 9 — — $158,132.69 $235,523.02 $235,523.02 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $154,011.10 $228,748.68 $228,748.68 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $152,611.53 $227,390.60 $227,390.60 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $148,660.10 $220,943.88 $220,943.88 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $148,158.63 $219,132.78 $219,132.78 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 10 7 — — $145,569.92 $217,018.03 $217,018.03 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $134,626.81 $199,957.70 $199,957.70 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $133,323.47 $198,437.33 $198,437.33 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 36 27 — — $123,299.14 $482,134.95 $196,680.33 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 27 — — $122,575.53 $479,305.44 $195,534.58 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $129,612.05 $191,842.30 $191,842.30 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 9 — — $125,727.77 $186,758.52 $186,758.52 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $121,851.03 $181,159.91 $181,159.91 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $121,179.73 $180,772.13 $180,772.13 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $120,940.24 $180,120.92 $180,120.92 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $117,122.59 $172,990.93 $172,990.93 2026-07-15
62 APR_DRG Pancreas Transplant 10 7 — — $114,947.03 $171,455.28 $171,455.28 2026-07-15
63 APR_DRG Pancreas Transplant 10 7 — — $114,947.03 $171,455.28 $171,455.28 2026-07-15
64 APR_DRG Pancreas Transplant 10 7 — — $114,947.03 $171,455.28 $171,455.28 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 9 — — $114,277.11 $169,641.18 $169,641.18 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $113,082.04 $167,555.65 $167,555.65 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $111,958.25 $166,227.07 $166,227.07 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $111,808.05 $166,222.61 $166,222.61 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $111,646.80 $166,061.36 $166,061.36 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $106,507.59 $157,422.04 $157,422.04 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $104,217.39 $153,859.46 $153,859.46 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 9 — — $102,819.42 $152,229.56 $152,229.56 2026-07-15
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $102,342.46 $151,921.76 $151,921.76 2026-07-15
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $101,200.81 $150,780.11 $150,780.11 2026-07-15
8634 APR_DRG Neonatal Aftercare 12 9 — — $101,102.91 $150,117.29 $150,117.29 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 9 — — $100,498.82 $149,016.91 $149,016.91 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $100,110.52 $147,993.49 $147,993.49 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 12 9 — — $96,793.55 $143,859.47 $143,859.47 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $95,465.61 $142,378.87 $142,378.87 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 9 — — $94,822.40 $141,031.91 $141,031.91 2026-07-15
4404 APR_DRG Kidney Transplant 12 9 — — $94,217.49 $140,057.84 $140,057.84 2026-07-15
4403 APR_DRG Kidney Transplant 12 9 — — $93,127.44 $138,967.79 $138,967.79 2026-07-15
4402 APR_DRG Kidney Transplant 12 9 — — $93,043.59 $138,883.94 $138,883.94 2026-07-15
4401 APR_DRG Kidney Transplant 12 9 — — $92,985.54 $138,825.89 $138,825.89 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 12 9 — — $92,846.56 $138,009.22 $138,009.22 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $91,836.36 $135,568.66 $135,568.66 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $91,056.52 $134,562.75 $134,562.75 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 9 — — $90,682.79 $134,367.74 $134,367.74 2026-07-15
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 9 — — $90,682.79 $134,367.74 $134,367.74 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 9 — — $89,471.43 $133,236.70 $133,236.70 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 9 — — $88,764.32 $132,125.87 $132,125.87 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 9 — — $88,232.62 $131,273.94 $131,273.94 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 9 — — $88,175.76 $131,271.86 $131,271.86 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 24 — — $65,441.15 $255,893.61 $131,198.51 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 27 — — $79,991.84 $312,790.98 $128,107.39 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 9 — — $86,370.90 $127,924.41 $127,924.41 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 9 — — $86,370.90 $127,924.41 $127,924.41 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 9 — — $85,636.12 $127,441.76 $127,441.76 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $84,332.75 $125,385.71 $125,385.71 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 12 9 — — $84,179.47 $124,923.91 $124,923.91 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 10 7 — — $82,742.06 $122,893.92 $122,893.92 2026-07-15
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $82,032.56 $122,184.42 $122,184.42 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 10 7 — — $80,526.33 $120,077.11 $120,077.11 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $80,442.35 $119,929.30 $119,929.30 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 24 — — $59,543.14 $232,830.75 $119,443.21 2026-07-15
1784 APR_DRG External Heart Assist Systems 12 9 — — $79,406.10 $118,390.37 $118,390.37 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 9 — — $78,143.09 $116,133.18 $116,133.18 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 9 — — $78,867.96 $115,963.34 $115,963.34 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 9 — — $78,074.61 $115,169.99 $115,169.99 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $77,104.75 $114,623.02 $114,623.02 2026-07-15
8633 APR_DRG Neonatal Aftercare 12 9 — — $76,776.96 $113,807.97 $113,807.97 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 9 — — $76,371.31 $113,743.82 $113,743.82 2026-07-15
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $75,918.76 $112,777.42 $112,777.42 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $76,070.98 $112,195.05 $112,195.05 2026-07-15
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 12 9 — — $75,431.01 $111,911.47 $111,911.47 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 12 9 — — $75,106.67 $111,739.26 $111,739.26 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 12 9 — — $74,960.00 $111,363.86 $111,363.86 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 9 — — $74,824.65 $111,276.39 $111,276.39 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 9 — — $74,605.34 $111,053.89 $111,053.89 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 9 — — $74,456.82 $110,819.19 $110,819.19 2026-07-15
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $74,458.16 $109,899.76 $109,899.76 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $73,503.88 $109,627.95 $109,627.95 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 12 9 — — $72,644.36 $107,954.58 $107,954.58 2026-07-15
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $70,869.69 $104,674.53 $104,674.53 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 12 9 — — $70,254.92 $104,651.81 $104,651.81 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 12 9 — — $69,778.96 $103,777.96 $103,777.96 2026-07-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 36 27 — — $60,456.40 $273,655.62 $102,763.86 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 9 — — $68,674.74 $102,054.57 $102,054.57 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 12 9 — — $68,133.54 $101,277.72 $101,277.72 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $67,687.83 $101,038.94 $101,038.94 2026-07-15
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 36 27 — — $62,797.93 $245,557.89 $100,882.51 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 12 9 — — $67,698.69 $100,576.91 $100,576.91 2026-07-15
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 2 2 — — $90,828.08 $107,081.53 $98,954.80 2026-07-15
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $66,378.31 $98,064.99 $98,064.99 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 9 — — $65,542.61 $97,549.52 $97,549.52 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 9 — — $66,161.26 $97,374.00 $97,374.00 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 9 — — $65,302.40 $97,069.40 $97,069.40 2026-07-15
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 12 9 — — $65,240.11 $97,040.10 $97,040.10 2026-07-15
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 9 — — $65,735.56 $96,948.30 $96,948.30 2026-07-15
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 12 9 — — $65,072.41 $96,872.40 $96,872.40 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 9 — — $64,972.41 $96,758.04 $96,758.04 2026-07-15
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 9 — — $64,972.41 $96,758.04 $96,758.04 2026-07-15
6301 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 9 — — $64,972.41 $96,758.04 $96,758.04 2026-07-15
6903 APR_DRG Acute Leukemia 12 9 — — $64,484.48 $95,802.54 $95,802.54 2026-07-15
6904 APR_DRG Acute Leukemia 12 9 — — $64,484.48 $95,802.54 $95,802.54 2026-07-15
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 9 — — $64,336.91 $94,985.80 $94,985.80 2026-07-15
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 9 — — $63,439.09 $94,520.97 $94,520.97 2026-07-15
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $63,344.06 $93,687.08 $93,687.08 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 34 25 — — $38,882.04 $271,387.05 $93,657.71 2026-07-15
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 12 9 — — $62,801.57 $93,332.37 $93,332.37 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 9 — — $62,596.08 $93,047.62 $93,047.62 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $62,226.63 $92,323.37 $92,323.37 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 12 9 — — $62,044.07 $92,232.30 $92,232.30 2026-07-15
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $60,583.56 $90,448.37 $90,448.37 2026-07-15
1783 APR_DRG External Heart Assist Systems 12 9 — — $60,583.33 $90,339.64 $90,339.64 2026-07-15
234 APR_DRG Spinal Procedures 12 9 — — $60,684.98 $90,204.57 $90,204.57 2026-07-15
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 2 2 — — $82,689.06 $97,486.05 $90,087.55 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $59,995.46 $89,298.56 $89,298.56 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $59,368.63 $88,620.13 $88,620.13 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $59,239.63 $88,491.13 $88,491.13 2026-07-15
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $58,994.68 $87,793.50 $87,793.50 2026-07-15
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 9 — — $58,848.32 $87,568.42 $87,568.42 2026-07-15
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 12 9 — — $57,757.11 $85,912.30 $85,912.30 2026-07-15
1794 APR_DRG Defibrillator Implants 12 9 — — $57,535.63 $85,673.79 $85,673.79 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 9 — — $57,610.51 $85,568.88 $85,568.88 2026-07-15
274 APR_DRG Other Open Craniotomy 12 9 — — $56,858.24 $84,403.30 $84,403.30 2026-07-15
10 MS_DRG Pancreas Transplant 33 24 — — $41,439.67 $162,040.95 $83,361.20 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 9 — — $55,938.61 $83,239.52 $83,239.52 2026-07-15
294 APR_DRG Other Percutaneous Intracranial Procedures 12 9 — — $55,159.30 $81,963.38 $81,963.38 2026-07-15
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 12 9 — — $54,501.47 $80,814.58 $80,814.58 2026-07-15
215 MS_DRG Other Heart Assist System Implant 37 27 — — $57,501.67 $224,848.02 $80,762.05 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $54,276.82 $80,603.23 $80,603.23 2026-07-15
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 10 7 — — $54,225.22 $80,551.63 $80,551.63 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 9 — — $54,027.67 $79,950.34 $79,950.34 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 27 — — $56,495.67 $220,914.27 $79,358.52 2026-07-15
6902 APR_DRG Acute Leukemia 12 9 — — $53,324.76 $79,314.45 $79,314.45 2026-07-15
4414 APR_DRG Major Bladder Procedures 12 9 — — $53,345.02 $79,252.26 $79,252.26 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 9 — — $53,873.63 $78,591.47 $78,591.47 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 12 9 — — $52,794.10 $78,448.14 $78,448.14 2026-07-15
213 APR_DRG Open Craniotomy Except Trauma 12 9 — — $52,651.11 $78,298.23 $78,298.23 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 27 — — $48,529.64 $189,764.76 $78,290.03 2026-07-15
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $71,696.35 $84,526.23 $78,111.29 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $52,428.55 $78,058.12 $78,058.12 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 12 9 — — $52,534.43 $77,900.70 $77,900.70 2026-07-15
215 OTHER Other Heart Assist System Implant 2 2 — — $71,464.43 $84,252.80 $77,858.61 2026-07-15
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 12 9 — — $51,891.31 $77,121.40 $77,121.40 2026-07-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 37 27 — — $45,369.93 $176,973.88 $77,106.60 2026-07-15
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 9 — — $52,222.43 $76,940.27 $76,940.27 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 9 — — $51,653.84 $76,935.52 $76,935.52 2026-07-15
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 12 9 — — $51,532.88 $76,544.35 $76,544.35 2026-07-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 12 9 — — $51,375.63 $76,239.22 $76,239.22 2026-07-15
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $51,127.43 $75,527.18 $75,527.18 2026-07-15
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 12 9 — — $50,603.37 $75,266.96 $75,266.96 2026-07-15
3084 APR_DRG Hip And Femur Fracture Repair 12 9 — — $50,129.91 $74,569.02 $74,569.02 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 12 9 — — $49,923.70 $74,455.37 $74,455.37 2026-07-15
1782 APR_DRG External Heart Assist Systems 12 9 — — $49,407.25 $73,715.50 $73,715.50 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 27 — — $45,442.32 $177,692.46 $73,401.55 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $49,006.59 $72,944.62 $72,944.62 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 27 — — $35,350.51 $179,050.59 $72,234.07 2026-07-15
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $48,265.15 $71,827.10 $71,827.10 2026-07-15
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 9 — — $48,434.89 $71,420.76 $71,420.76 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 27 — — $44,004.93 $172,071.84 $71,125.58 2026-07-15
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 2 2 — — $65,200.66 $76,868.14 $71,034.40 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 12 9 — — $47,656.83 $70,758.66 $70,758.66 2026-07-15
1824 APR_DRG Other Peripheral Vascular And Related Procedures 12 9 — — $47,190.08 $70,195.10 $70,195.10 2026-07-15
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 9 — — $47,431.21 $70,070.79 $70,070.79 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 12 9 — — $46,884.44 $69,722.43 $69,722.43 2026-07-15
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $46,872.52 $69,137.09 $69,137.09 2026-07-15
6953 APR_DRG Chemotherapy For Acute Leukemia 12 9 — — $46,426.03 $69,037.41 $69,037.41 2026-07-15
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 9 — — $46,788.06 $68,755.81 $68,755.81 2026-07-15
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 12 9 — — $46,213.94 $68,672.66 $68,672.66 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 27 — — $48,682.67 $190,363.20 $68,458.06 2026-07-15
C2624 HCPCS 4067274 Wireless Press SENS[Omnicell Cath Lab] 41 22 $147,692.00 $57,599.88 61% off $14,769.20 $138,830.48 $68,056.47 2026-07-15
1793 APR_DRG Defibrillator Implants 12 9 — — $45,366.28 $67,549.46 $67,549.46 2026-07-15
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 9 — — $45,193.98 $66,705.33 $66,705.33 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 27 — — $41,178.06 $161,018.01 $66,649.52 2026-07-15
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 9 — — $44,680.84 $66,541.14 $66,541.14 2026-07-15
233 APR_DRG Spinal Procedures 12 9 — — $44,617.27 $66,407.89 $66,407.89 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 12 9 — — $44,727.75 $66,397.62 $66,397.62 2026-07-15
734 APR_DRG Orbit And Eye Procedures 12 9 — — $44,722.22 $66,312.82 $66,312.82 2026-07-15
293 APR_DRG Other Percutaneous Intracranial Procedures 12 9 — — $44,437.77 $66,238.49 $66,238.49 2026-07-15
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 12 9 — — $44,453.55 $66,086.72 $66,086.72 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 34 25 — — $34,244.02 $133,903.92 $66,023.08 2026-07-15
974 OTHER HIV With Major Related Condition With Mcc 2 2 — — $60,514.83 $71,343.80 $65,929.32 2026-07-15
1804 APR_DRG Other Circulatory System Procedures 12 9 — — $44,366.25 $65,886.11 $65,886.11 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 12 9 — — $44,056.35 $65,432.59 $65,432.59 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 33 24 — — $32,366.56 $126,562.53 $65,277.62 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 9 — — $43,839.22 $65,226.10 $65,226.10 2026-07-15
2294 APR_DRG Other Digestive System And Abdominal Procedures 12 9 — — $43,840.20 $65,179.74 $65,179.74 2026-07-15
3054 APR_DRG Amputation Of Lower Limb Except Toes 12 9 — — $43,913.14 $65,173.95 $65,173.95 2026-07-15
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 9 — — $43,742.45 $65,116.56 $65,116.56 2026-07-15
2804 APR_DRG Alcoholic Liver Disease 12 9 — — $43,803.52 $65,080.29 $65,080.29 2026-07-15
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 9 — — $43,765.51 $64,851.31 $64,851.31 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 27 — — $39,915.64 $156,081.60 $64,650.61 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 36 27 — — $39,719.87 $155,316.06 $64,340.62 2026-07-15
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 9 — — $43,522.95 $64,275.23 $64,275.23 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 12 9 — — $43,219.06 $64,136.78 $64,136.78 2026-07-15
9103 APR_DRG Craniotomy For Multiple Significant Trauma 12 9 — — $42,891.26 $63,841.42 $63,841.42 2026-07-15
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 12 9 — — $43,031.66 $63,777.03 $63,777.03 2026-07-15
8632 APR_DRG Neonatal Aftercare 12 9 — — $43,102.39 $63,739.24 $63,739.24 2026-07-15
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 9 — — $42,694.23 $63,495.98 $63,495.98 2026-07-15
1781 APR_DRG External Heart Assist Systems 12 9 — — $42,481.67 $63,427.05 $63,427.05 2026-07-15
913 APR_DRG Other Major Head And Neck Procedures 12 9 — — $42,439.19 $63,111.68 $63,111.68 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 27 — — $38,872.10 $152,001.06 $62,998.26 2026-07-15
49596 CPT Rpr Aa Hrn 1st > 10 Ncr/strn 47 30 $107,201.03 $22,512.22 79% off $842.90 $100,768.97 $62,712.58 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 12 9 — — $42,233.46 $62,708.61 $62,708.61 2026-07-15
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 9 — — $42,112.14 $62,661.22 $62,661.22 2026-07-15
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 12 9 — — $42,018.54 $62,534.12 $62,534.12 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 27 — — $44,342.18 $173,390.64 $62,402.35 2026-07-15
403 APR_DRG Spinal Disorders And Injuries 12 9 — — $42,115.64 $62,277.48 $62,277.48 2026-07-15
404 APR_DRG Spinal Disorders And Injuries 12 9 — — $42,115.64 $62,277.48 $62,277.48 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 27 — — $44,151.03 $172,643.16 $62,135.65 2026-07-15
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 12 9 — — $41,665.31 $61,869.17 $61,869.17 2026-07-15
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 9 — — $41,708.86 $61,660.06 $61,660.06 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 12 9 — — $41,483.37 $61,559.03 $61,559.03 2026-07-15
49616 CPT Rpr Aa Hrn Rcr 3-10 Ncr/strn 46 29 $104,935.39 $22,036.43 79% off $704.86 $98,639.27 $61,387.21 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 9 — — $41,514.05 $61,349.82 $61,349.82 2026-07-15
49623 CPT Rmvl Ninfct Mesh Hernia Rpr 46 29 $104,486.71 $21,942.21 79% off $165.53 $98,217.51 $61,124.74 2026-07-15
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 2 2 — — $56,091.77 $66,129.24 $61,110.51 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 7 — — $41,024.01 $60,936.37 $60,936.37 2026-07-15
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 9 — — $40,822.20 $60,877.12 $60,877.12 2026-07-15
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 9 — — $40,998.11 $60,862.60 $60,862.60 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 33 24 — — $26,778.67 $128,796.45 $60,846.71 2026-07-15
2314 APR_DRG Major Large Bowel Procedures 12 9 — — $40,678.52 $60,388.22 $60,388.22 2026-07-15
C1882 HCPCS 4061002 Aicd Ohr Thn SGL/DU2[Omnicell Cath Lab] 160 21 $131,282.00 $37,907.73 71% off $15,220.38 $169,682.22 $60,289.71 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 27 — — $37,160.39 $145,307.76 $60,287.93 2026-07-15
4034 APR_DRG Procedures For Obesity 12 9 — — $40,480.65 $60,156.30 $60,156.30 2026-07-15
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 12 9 — — $40,494.37 $60,046.08 $60,046.08 2026-07-15
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 12 9 — — $39,890.08 $59,372.64 $59,372.64 2026-07-15
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 12 9 — — $39,806.86 $59,072.93 $59,072.93 2026-07-15
244 APR_DRG Open Extracranial Vascular Procedures 12 9 — — $39,734.97 $59,064.33 $59,064.33 2026-07-15
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $39,416.56 $58,642.72 $58,642.72 2026-07-15
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $39,303.69 $58,534.65 $58,534.65 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 36 27 — — $41,422.34 $161,973.21 $58,306.05 2026-07-15
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 12 9 — — $39,085.02 $58,099.48 $58,099.48 2026-07-15
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 12 9 — — $39,047.47 $58,094.37 $58,094.37 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 12 9 — — $38,938.70 $57,893.58 $57,893.58 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 27 — — $35,391.51 $138,390.93 $57,487.07 2026-07-15
3094 APR_DRG Other Significant Hip And Femur Surgery 12 9 — — $38,609.45 $57,414.32 $57,414.32 2026-07-15
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 12 9 — — $38,650.11 $57,366.69 $57,366.69 2026-07-15
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 9 — — $38,659.75 $57,355.58 $57,355.58 2026-07-15
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 12 9 — — $38,495.27 $57,189.50 $57,189.50 2026-07-15
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease 12 9 — — $38,467.19 $57,099.72 $57,099.72 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 27 — — $37,834.33 $147,943.08 $56,496.67 2026-07-15
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 12 9 — — $38,034.64 $56,472.49 $56,472.49 2026-07-15
1693 APR_DRG Major Abdominal Vascular Procedures 12 9 — — $37,895.11 $56,436.15 $56,436.15 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 12 9 — — $37,959.46 $56,430.29 $56,430.29 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 36 27 — — $34,697.93 $135,678.84 $56,388.86 2026-07-15
276 MS_DRG Non-maligant Breast Disorders 36 27 — — $34,688.12 $135,640.47 $56,373.33 2026-07-15
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 9 — — $37,845.33 $56,227.86 $56,227.86 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 9 — — $37,731.21 $56,028.62 $56,028.62 2026-07-15
893 APR_DRG Major Cranial Or Facial Bone Procedures 12 9 — — $37,645.38 $56,027.91 $56,027.91 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 27 — — $34,436.90 $134,658.18 $55,975.57 2026-07-15
2824 APR_DRG Disorders Of Pancreas Except Malignancy 12 9 — — $37,582.65 $55,777.93 $55,777.93 2026-07-15
444 APR_DRG Intracranial Hemorrhage 12 9 — — $37,517.16 $55,756.60 $55,756.60 2026-07-15
2634 APR_DRG Cholecystectomy 12 9 — — $37,268.62 $55,401.14 $55,401.14 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 27 — — $16,368.90 $161,112.87 $55,265.08 2026-07-15
7214 APR_DRG Post-operative, Post-traumatic, Other Device Infections 12 9 — — $37,171.64 $55,192.45 $55,192.45 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 27 — — $33,869.22 $132,438.36 $55,076.68 2026-07-15
4444 APR_DRG Renal Dialysis Access Device Procedures 12 9 — — $37,121.95 $55,025.74 $55,025.74 2026-07-15
1203 APR_DRG Major Respiratory And Chest Procedures 12 9 — — $36,945.91 $54,973.10 $54,973.10 2026-07-15
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 12 9 — — $36,474.36 $54,160.05 $54,160.05 2026-07-15
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 12 9 — — $36,375.40 $54,031.30 $54,031.30 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 12 9 — — $36,378.57 $54,010.54 $54,010.54 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 27 — — $33,092.48 $129,401.07 $53,846.79 2026-07-15
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 9 — — $36,138.98 $53,834.24 $53,834.24 2026-07-15
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 36 27 — — $31,653.29 $146,158.35 $53,778.98 2026-07-15
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 12 9 — — $36,211.58 $53,665.35 $53,665.35 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 27 — — $32,914.61 $128,705.55 $53,565.15 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 27 — — $37,972.36 $148,482.81 $53,515.37 2026-07-15
1792 APR_DRG Defibrillator Implants 12 9 — — $35,666.61 $53,147.51 $53,147.51 2026-07-15
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 36 27 — — $35,838.64 $138,117.69 $52,683.53 2026-07-15
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